Michael Jacoby Smith, MD, MPH, PHD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

76-0128 Issued in NM

Practice address

3185 N Leslie Rd
Silver City, NM 88061-7211

Phone

(575) 388-3393

NPI assigned

May 25, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1932774650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 CECILIA ST # A",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617120",
            "telephone_number": "575-288-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 N LESLIE RD",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617211",
            "telephone_number": "575-388-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "JACOBY",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "76-0128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hms-nm.org/provider/msmith-md/",
            "affiliation": "N",
            "endpointDescription": "work location private address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3185 N Leslie Rd",
            "city": "Silver City",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880617211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Silverstone Healthcare of Silver City, LLC
• Marissa Jenee Simpson, CNP
• James R Skee, M.D.
• Deborah Jane Smith, LD
• Diana Joyce Smith
• Christina Racquel Solberg, PMHNP-BC
• Aimee Francis Ryan Soliz
• Alicia Rae Soliz
• Bailey Suniai Sonora, BIRTH DOULA, CLC
• Cynthia Ayala Sosaya

• Internal Medicine Physician in Silver City, NM
• Providers in Silver City, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.